Healthcare Provider Details

I. General information

NPI: 1457855710
Provider Name (Legal Business Name): VU CAO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2018
Last Update Date: 03/21/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4708 ALLIANCE BLVD STE 110
PLANO TX
75093-5337
US

IV. Provider business mailing address

4708 ALLIANCE BLVD STE 110
PLANO TX
75093-5337
US

V. Phone/Fax

Practice location:
  • Phone: 972-985-2600
  • Fax: 972-985-3020
Mailing address:
  • Phone: 972-985-2600
  • Fax: 972-985-3020

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number38350
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: